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Preventing Violence Among Employees Of The Same Work Organization: Evaluation Of A Participatory Intervention, Julie Dussault, Nathalie Jauvin, Michel Vézina, Renée Bourbonnais

Rapports de recherche scientifique

Cliquez ici pour la version française de ce rapport

La violence au travail, particulièrement entre des membres d'une même organisation, a des répercussions sur la santé et la sécurité du personnel. Bien que le Québec se soit doté d'un cadre législatif pour contrer ce phénomène, on connaît peu l'utilité et l'efficacité des moyens servant à le prévenir. Les auteurs ont mené une recherche auprès d'agents de services correctionnels de trois établissements de détention, chez qui les chercheurs avaient préalablement démontré que des facteurs organisationnels étaient associés à cette problématique. Cette recherche reposait sur une démarche participative qu’ils ont systématiquement évaluée …

Repositioning Community-Based Family Planning In Ghana: A Case Study Of Community-Based Health Planning And Services (Chps), Stephen Ntsua, Placide Tapsoba, Gloria Quansah Asare, Frank K. Nyonator

Reproductive Health

The Population Council conducted a diagnostic appraisal of delivering family planning services using the community-based health planning and services (CHPS model) in Ghana. This study’s results indicate that the CHPS program is well appreciated by rural communities where it is operational. However, the study identified several developments with implications for service delivery: increased community health officer (CHO) workloads and concomitant reductions in outreach services and home visits by community health visitors (CHVs) have weakened the CHO-CHV working relationship, leaving both cadres working in isolation. CHPS has significantly improved health indices but its contribution to increasing family planning is limited and …

Tobacco Treatment In College Health, Joanne Brown

DNP Projects

ABSTRACT: Tobacco Treatment in College Health

The college years are a critical time in the development of smoking behavior and tobacco use. Smoking is linked to 30% of cancer deaths, 80% of deaths from chronic obstructive pulmonary disease and early cardiovascular disease and death. Effective treatment interventions at this time provide an opportunity to drastically reduce premature morbidity and mortality.

This document follows the progression from the discussion of the problem to evaluation of an intervention. The first manuscript is a review of existing literature on Internet interventions with young adults, including methodology, theoretical frameworks and outcome measures for tobacco …

Teaching Statistical Research Methods To Graduate Students: Lessons Learned From Three Different Degree Programs, Ozgur Ekmekci, Adrienne Hancock, Susan S. Swayze

Clinical Research and Leadership Faculty Publications

This paper examines the challenge of teaching statistical research methods in three master’s degree programs at a private university based in Washington, DC. We, as three professors teaching at this university, discuss the way we employ innovative approaches to deal with this challenge. We ground our discussion within the theoretical framework of problem-based learning and adult learning principles. We provide brief descriptions of our research methods courses to demonstrate how an instructor can facilitate learning of new knowledge and applications in a content area often considered intimidating by students. We also highlight similarities across the three different courses we teach …

A Survey Tool For Measuring Evidence-Based Decision Making Capacity In Public Health Agencies, Julie A. Jacobs, Paula F. Clayton, Cassandra Dove, Tanya Funchess, Ellen Jones, Ghazala Perveen, Brandon Skidmore, Victor Sutton, Sarah Worthington, Elizabeth A. Baker, Anjali D. Deshpande, Ross C. Brownson

Open Access Publications

No abstract provided.

Partner Randomized Controlled Trial: Study Protocol And Coaching Intervention, Jane M. Garbutt, Gabrielle Highstein, Yan Yan, Robert C. Strunk

Open Access Publications

No abstract provided.

A Study Of Early Adopters Of Innovation, John B. Mcwhorter

All ETDs from UAB

This research study focused on identification of environmental and organizational variables that influence the rate of adoption of administrative innovation in organizations, and specifically hospitals that have adopted nurse magnet programs. The study identified both organizational and environmental factors as statistically significant among early adopters of magnet programs in hospitals, with organizational influences stronger than environmental influences in determining the rate of adoption of innovation. Organizational complexity, size, control of domain, presence of a competitor, and available resources were the factors identified as influencing the early adoption of innovation among hospitals.

Cycles Of Electronic Health Records Adaptation By Physicians: How Do The Positive And Negative Experience With The Ehr System Affect Physicians' Ehr Adaptation Process?, Cherie Noteboom, Dhundy Bastola, Sajda Qureshi

Research & Publications

The integration of EHR in IT infrastructures supporting organizations enable improved access and recording of patient data, enhanced ability to make improved decisions, improved quality and reduced errors in patient care. Despite these benefits, there are mixed results as to the use of EHR. The literature suggests that the reasons for the limited use relate to policy, financial and usability considerations, but it does not provide an understanding of reasons for physicians’ limited interaction and adaptation of EHR.

Following an analysis of qualitative data, collected in a case study at a hospital using interviews, this research explains how physicians interact …

Facilitating Emergence: Complex, Adaptive Systems Theory And The Shape Of Change, Peter Martin Dickens

Antioch University Dissertations & Theses

This study used Principal Component Analysis to examine factors that facilitate emergent change in an organization. As organizational life becomes more complex, today’s dominant management paradigms no longer suffice. This is particularly true in a health care setting where multiple sources of disease interacting with each other meet with often-competing organizational priorities and accountabilities in a highly complex world. This study identifies new ways of approaching complexity by embracing the capacity of complex systems to find their own form of order and coherence. Based on a review of the literature, interviews with hospital CEOs, and my organization development practice experience …

Getting Back To My Life: Exploring Adaptation To Change Through The Experiences Of Breast Cancer Survivors, Charles A. Foster

Antioch University Dissertations & Theses

The holding environment concept, developed by Donald Winnicott, has been used to represent the type of support that encourages adaptive change during psychosocial transitions. The leadership and change literature posited that the holding environment had the ability to shape the trajectory of the transition, yet did not test this empirically. The psychosocial breast cancer literature empirically researched support during and after treatments ended, but did not incorporate the holding environment concept. This presented the opportunity to inform both the leadership and breast cancer fields by studying holding environments in the breast cancer setting. This study had a twofold purpose: 1) …

Impact Of Occupational Health Interventions In Indonesia, Hanifa Maher Denny

USF Tampa Graduate Theses and Dissertations

Although the Ministry of Health, Indonesia, has achieved some successful occupational health interventions, published literature on such interventions in Indonesia remains scarce.

This study utilized mixed methods of qualitative and quantitative research for the years 2010 and 2011. The qualitative study covered respondents in West, Central, and East Java Provinces to gather stakeholders' perspectives on the impact, effectiveness, adoption, implementation, maintenance, and barriers of occupational health services for informal sectors in Indonesia. The quantitative portion measured the impact of occupational health training for community health officers using Reach, Efficacy, Adoption, Implementation and Maintenance (RE-AIM) dimensions. West Java, as a province …

Leadership Rounding: Improving Frontline Nurse Satisfaction, Erin Bashaw

Doctor of Nursing Practice (DNP) Projects

The amount of time nurse managers and senior leadership spend with frontline or bedside staff impacts their ability to empower, engage and retain staff. Improving nurse satisfaction in relationship to teamwork, perception of senior leadership and attitude about direct management should be a priority of all organizations. Leaders that recognize the power of an intergenerational and interdisciplinary workforce will be influential for dynamic change and visionary development. Advancing overall teamwork as a nursing department, developing a better rapport with senior leadership and improving the relationship between direct management and front-line nurses is in the best interest of patient care.

A Bridge To One World: An Indigenous Wisdom-Based Approach To Designing A Transcultural Patient Family Advisory Council, Julie Lundberg

Theses and Graduate Projects

As health care organizations face increasing challenges to accommodate diverse patient populations amid growing concerns of persistent health disparities, there is urgent need to better understand and listen to diverse, unique patient experiences. This paper describes the design and implementation of a transcultural Patient Family Advisory Council (PFAC) as a concrete step towards ensuring that the voices of culturally diverse patients and families are effectively engaged to improve the patient experience at a large, Midwestern healthcare organization. Storytelling, ritual and dialogue provide a wisdom-based approach to the design of a Bridge to One World practice model grounded in Leininger's Culture …

Transactions Of The First International Conference On Health Information Technology Advancement Vol. 1, No. 1, Center For Health Information Technology Advancement

Transactions of the International Conference on Health Information Technology Advancement

Full proceedings of The First International Conference on Health Information Technology Advancement held at Western Michigan University in Kalamazoo, Michigan on October 28, 2011.

Conference Co-Chairs:

Dr. Bernard Han, Director of the Center for HIT Advancement (CHITA) at Western Michigan University

Dr. Sharie Falan, Associate Director of the Center for HIT Advancement (CHITA) at Western Michigan University

Transactions Editor:

Dr. Huei Lee, Professor in the Department of Computer Information Systems at Eastern Michigan University

Anomalies In The System: Is A New Educational Paradigm Upon Us?, Ed Cunliff, John Barthell

Administrative Issues Journal

In this article, we describe the palpable changes of a paradigm shift in higher education. Although this shift has been described and/or predicted elsewhere, we affirm the transition from over 30 years of collective teaching and administrative experience at a predominantly undergraduate institution (PUI) with historical roots as a state normal school. In many respects, the anomalies that Thomas Kuhn predicted in such a transition are all the more evident given our institution’s history. These anomalies include (but are not limited to) 1) the state of knowledge “ownership” (as mediated by the internet), 2) student-centered (vs. faculty-centered) educational practices, 3) …

Complexity, Knowledge And Structure: A Systemic Understanding Of Organizational Learning, Justin D. Walton

Administrative Issues Journal

Organizations are among the most socially complex institutions within modern culture. As corporations face the challenges of technological change and globalization, it becomes essential that they find new ways and forms of fostering knowledge sharing and creativity. Challenging the age-old belief that employees should “dominated and directed,” complexity theory challenges the classic machine metaphor of organizational structure with a view that conceptualizes them as nonlinear systems that fluctuate between conditions of stability and chaos. This model offers new and exciting opportunities for exploring the dynamics of organizational learning. Toward this end, this paper examines the systemic features of organizations with …

Childhood Loss And Ad/Hd: Program Implications For Education Administrators, Helen Wilson Harris, Marlene Zipperlen

Administrative Issues Journal

Evidence-based practice and evidence-informed practice are not just buzzwords in education. It is essential that administrators encourage both the development and the application of new knowledge in the field. This study of 1755 elementary age children in Central Texas indicates a positive association between the experience of childhood loss and grief and a diagnosis of AD/HD. Implications of this information for administrators in education are explored, including the training of counselors and classroom teachers in grief interventions and accommodations for grief related attention problems in children.

Effect Of Practitioner Self Care And Anxiety On Relationships Within The Context Of Organizational Change, Juanita Manning-Walsh

Transactions of the International Conference on Health Information Technology Advancement

The purpose of this research paper is to review the literature and suggest the relationships between organizational change through implementation of new health information technology (HIT) and/or reconfiguration of existing HIT, practitioner anxiety, and effective caring practitioner/patient and practitioner/practitioner relationships using a conceptual framework of Relationship Centered Care (RCC). Engaging in frequent and regular self-care interventions has been shown to be related to practitioner/patient caring ability and caring efficacy. According to a published model of RCC, it may be anticipated that selfcare may decrease practitioner anxiety in the context of organizational change and increase ability of the practitioner to engage …

Librarians As Participants In A Medical School Advanced Teaching Program, Anne Linton, Laura E. Abate

Himmelfarb Library Faculty Posters and Presentations

Librarians of Himmelfarb Health Sciences Library are now participating in a joint program of the School of Medicine and Health Sciences (SMHS) and the Graduate School of Education and Human Development of the George Washington University. The program, called the Master Teacher Leadership and Development Program (MTLDP), has increased library visibility and an expanded faculty understanding of how library resources and services can enhance education. This poster presentation is a general outline of the program's benefits to the library.

An Occupational-Based Experimental Study Of Collective Vs. Personal Efficacy To Encourage Sun Protective Behaviors In Head Start Preschool Teachers, Elizabeth A. Holzhauser

Loma Linda University Electronic Theses, Dissertations & Projects

Background. Skin cancer is one of the most common types of cancers in the United States. An analysis of literature shows that skin cancer can be partially mitigated through personal behavior changes (Glanz, Buller, & Saraiya; 2007, Canadian Centre of Occupational Health and Safety [CCOHS], 2010). Currently national sun-safety educational campaigns promote sun-protective behaviors to individuals who receive exposure due to their work environment (Task Force on Community Preventive Services, 2004). Preschool teachers employed with San Bernardino County Head Start are inadvertently exposed to sunlight during mandatory recess periods posing risks to their health.

Purpose. This study evaluated two instructional …

The Relationship Between Staff Nurse Perception Of Nurse Manager Leadership Behavior And Staff Nurse Job Satisfaction In A Hospital Applying For Magnet Recognition Status, Lorraine B. Bormann

Nursing Faculty Publications

Hospitals are challenged to understand factors related to staff nurse retention in the context of the nursing shortage slowdown (Huselid, 1995; Mancino, 2008; Mancino, 2009). Leadership is a major factor in organizational success (Gandossy & Guarnieri, 2008; Gettler, 2003; Wooten & Crane, 2003) and nurse managers are the direct link between the executive nurse leaders and the registered nurses (RN) in the staff position (Taunton, Boyle, Woods, Hansen, & Bott, 1997).

Studies show that nurse manager leader behaviors influence staff nurse job satisfaction (Blegen, 1993; Irvine & Evans, 1995; Lashinger & Finegan, 2005). A primary role of the nurse leader …

Building A Learning Community For Dental Hygiene Faculty, Nancy Baccari

Critical and Creative Thinking Capstones Collection

Have you ever felt isolated in your work environment that left you feeling perplexed and stuck only to find out that colleagues felt the same way you did but had no idea to work around it? Through this practioner’s narrative, I journey through my struggle of teacher isolation to my action plan to make it better. Finding a way to identify my feelings, strengths and weaknesses and move towards change to improve my own work environment describes my experience in the Critical and Creative Thinking (CCT) graduate program. This new awareness changed the way I see myself as a leader …

Using A Telephone Reminder System To Improve Pneumococcal Vaccination Rates For Medicare Recipients, Julie A. Koch

Evidence-Based Practice Project Reports

Despite recent advances in healthcare, Streptococcus pneumonia-associated infections contribute to significant morbidity and mortality in older adults. Because of the pneumococcal vaccine’s efficacy for preventing invasive disease, guidelines for vaccinating older adults have been developed; yet, the nation has not met immunization goals. The purpose of this EBP project was to determine if a telephone reminder, as compared to provider recommendation, would increase pneumococcal vaccination rates. The Iowa model and Kotter’s eight stages of change guided this project within a multi-provider office in Northwest Indiana. Within the practice, Medicare patients scheduled from September 1 to November 10, 2010 received a …

Interventions To Improve The Management Of Medically Uninsured Adult Patients With Type 2 Diabetes Mellitus In Primary Care, Community-Based Settings, Lynn Miskovich

Evidence-Based Practice Project Reports

This project measured the effect of a clinical algorithm on the provision of care to medically uninsured adult patients with type 2 diabetes and a low socioeconomic status (SES). Primary providers often fail to implement established standards for diabetes care to their maximal benefit and do not achieve American Diabetes Association (ADA) treatment standards. Saydah, et al. (2004) reported that only 48% of patients with diabetes achieved the recommended HbA1c goal, and 33% reached blood pressure and LDL targets. Goals for all three clinical parameters were obtained by only 7% of patients. The Stetler Model of Evidence-based Practice (EBP) provided …

Making Sense Of Health Care Planning In Ireland; The Street Level Public Organization (Slpo)., Vivienne Byers

Conference Papers

One of the central mechanisms of the Strategic Management Initiative (SMI) (Government of Ireland 1996) is the devolution of accountability and responsibility from the centre to executive agencies. Service planning was introduced in the Irish health care sector as part of this strategic planning ethos. This paper reports on a study that examined both the intent and the consequences of implementing legislatively mandated planning in the Irish health services, in the context of significant organizational change. In an effort to draw broader lessons, a comparison is drawn with the Canadian experience of service planning.

The choice was made to study …

Defining And Assessing Organizational Culture, Jennifer Bellot Phd, Rn, Mhsa

College of Nursing Faculty Papers & Presentations

PROBLEM.  Using theories from several disciplines, the concept of organizational culture remains controversial. Conflicting definitions, lack of semantic clarity, and debate over the most appropriate methods for assessing organizational culture have led to disagreement over the value and validity of such inquiry.

METHODS.  This paper reviews development of the concept of organizational culture and methods for assessing organizational culture, focusing on the healthcare environment.

FINDINGS.  Most work on organizational culture concerns the traditional corporation. Therefore, some adaptation to the central goals and focus of a human services organization are necessary before application to healthcare settings.

University In Transition: Faculty Sense-Making And Responses, Leslie D. Gonzales, Rodolfo Rincones

Administrative Issues Journal

Across the institutional spectrum, universities are attempting to reposition themselves as more research dominant institutions, a pattern referred to as “mission creep.” Such changes in university missions have several critical implications for faculty members and their work. In this qualitative study, we interviewed ten tenure-track faculty members to explore how they make sense of and respond to Sun University’s creeping university mission. Through qualitative data analysis, we found that faculty use organizational scripts to construct and make sense of their role, yet they do so towards different ends. Some faculty members own the transition and attempt to contribute to its …

The District-Wide Sustainability Of A Professionallearning Community During Leadership Changesat The Superintendency Level, Chuey Abrego, Anita Pankake

Administrative Issues Journal

The purpose of this mixed methods follow-up single case study was two-fold: to determine if a school district was able to sustain a professional learning community (PLC) and to identify factors that enhanced, inhibited, or promoted the sustainability of a PLC from a district-wide perspective, with particular focus on how a change in leadership, i.e. a new superintendent, affected the sustainability of PLC attributes. In addition, the role of trust in influencing the sustainability of a professional learning community will be discussed in this paper.

Experiences Of Participants In A Collaborative To Develop Performance Measures For Hospice Care, Meliessa Hennessy

UCHC Articles - Research

Background There has been increasing attention paid to quality assessment in hospice as the industry has grown and diversified. In response, policymakers have called for standardized approaches to monitoring hospice quality. The experiences of a set of hospices involved with the National Association for Home Care & Hospice (NAHC) Quality Assessment and Performance Improvement Collaborative, which was designed to test the use of a standardized patient symptom assessment tool as an exemplar of efforts to standardize symptom assessment in hospice, were examined. Methods Transcripts of semistructured telephone interviews with 24 individuals from eight of the nine participating hospices, which were …

Evaluation Of A Quality Management Initiative And Hiv Ambulatory Services Performance In Thailand, Meemon Natthani

Electronic Theses and Dissertations

The accomplishment of pilot implementation of the HIVQUAL-T model, an innovative HIV care quality management tool, has led to an authoritative decision to scale up the use of the model nationwide in Thailand. However, the level of implementing this model varies across target hospitals. Some hospitals have fully adopted the model by conducting quality improvement (QI) activities following performance measurement (PM) results while others have partially adopted only PM or have not used this model at all. The differential level of implementation could be a contributing factor accounting for discrepancies in the quality of care across different HIV ambulatory care …